Provider Demographics
NPI:1437488202
Name:ONSITE ERGONOMICS AND REHABILITATION INC.
Entity Type:Organization
Organization Name:ONSITE ERGONOMICS AND REHABILITATION INC.
Other - Org Name:ADAPT IT ERGONOMICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HAAS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:806-241-4264
Mailing Address - Street 1:5606 GENEVA AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-4824
Mailing Address - Country:US
Mailing Address - Phone:806-241-4264
Mailing Address - Fax:806-797-0140
Practice Address - Street 1:5606 GENEVA AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-4824
Practice Address - Country:US
Practice Address - Phone:806-241-4264
Practice Address - Fax:806-797-0140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX661540001261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation